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<strong>BD</strong> Nexiva Closed IV Catheter System<br />
<strong>Points</strong> <strong>to</strong> Practise<br />
Stage 1 Insertion<br />
<strong>BD</strong> Nexiva accommodates a variety of grip techniques, so hold as preferred<br />
Ported technique Winged technique Straight technique Insert needle in<strong>to</strong> vein as normal. Look for initial fl ashback along the<br />
cannula.<br />
Stage 2 Advancement<br />
Advance the cannula in<strong>to</strong> the vein using your preferred technique. Then release <strong>to</strong>urniquet before proceeding further.<br />
Hooded technique One handed technique Two handed feed off technique<br />
Stage 4 Dressing<br />
Apply your preferred dressing as shown, ensuring the rear septum is covered.<br />
If dressing is supplied with securing strips, you may use one <strong>to</strong> secure extension tubing.<br />
<strong>BD</strong> Veca-C dressing Ported dressing Non-ported dressing<br />
Lower the device and advance<br />
the entire system slightly (approx<br />
2mm) <strong>to</strong> ensure cannula tip is<br />
inside the vein.<br />
Stage 3 Needle removal<br />
CAUTION: Do not hold<br />
push tab on removing<br />
needle<br />
Place one fi nger on the wing and one on the<br />
needle safety shield. Pull back needle until audible<br />
click is heard.<br />
10<br />
3<br />
1<br />
9<br />
8 8<br />
4<br />
7<br />
6<br />
7<br />
6<br />
2<br />
5<br />
1<br />
Note continued fl ashback along<br />
the extension tube confi rming vein<br />
entry.<br />
Remove fi nger from needle safety shield, but<br />
continue <strong>to</strong> support wing and withdraw needle fully<br />
until the needle separates from the cannula hub.<br />
Dispose of needle in<strong>to</strong> a nearby sharps container.<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
10<br />
<strong>BD</strong> Q-Syte closed luer access<br />
Air vent<br />
Y adapter<br />
Pinch clamp<br />
Extension tubing<br />
Finger grips<br />
Needle safety shield (when activated)<br />
Flexible wings<br />
<strong>BD</strong> Vialon catheter<br />
Notched needle
<strong>BD</strong> Nexiva Closed IV Catheter System<br />
<strong>Points</strong> <strong>to</strong> Practise<br />
Stage 5 Preparation for Use<br />
Y-Type Version<br />
S<strong>to</strong>pcock Version<br />
Engage pinch clamp or turn tap <strong>to</strong><br />
OFF position.<br />
Stage 6 Care and Maintenance<br />
Flushing the <strong>BD</strong> Q-Syte Closed Luer Access<br />
Disinfect access port with an appropriate<br />
cleaning agent. Allow <strong>to</strong> dry.<br />
Attach syringe until secure.<br />
Do not over-tighten or push luer <strong>to</strong>o far<br />
in<strong>to</strong> device.<br />
<strong>BD</strong>, <strong>BD</strong> logo and all other trademarks are the property of Bec<strong>to</strong>n, Dickinson and Company ©2011 <strong>BD</strong>.<br />
Remove vent plug. Attach fl ushing syringe and<br />
disengage pinch clamp or turn<br />
tap <strong>to</strong> ON position. Then fl ush as<br />
normal.<br />
Flush until clear using pulsating<br />
technique <strong>to</strong> generate turbulant fl ow.<br />
IMPORTANT<br />
To avoid catheter refl ux, maintain<br />
pressure when fl ushing complete...<br />
Partially withdraw the syringe half a turn<br />
and fl ush again <strong>to</strong> clear the device fully.<br />
TIP: Engage clamp using<br />
your dominant hand and<br />
fl ush using other hand<br />
...and at the same time re-engage<br />
pinch clamp or turn tap <strong>to</strong> OFF<br />
position prior <strong>to</strong> disconnecting<br />
To avoid catheter refl ux, maintain syringe<br />
pressure when fl ushing complete...<br />
Attach white end cap or other<br />
needlefree device or administration<br />
set.<br />
Your <strong>BD</strong> Nexiva is now ready for<br />
use.<br />
... and at the same time re-engage pinch<br />
clamp or turn tap <strong>to</strong> OFF position prior<br />
<strong>to</strong> disconnecting.<br />
<strong>BD</strong> Medical<br />
The Danby Building, Edmund Halley Road,<br />
Oxford Science Park, Oxford OX4 4DQ<br />
Tel: 01865 748844 Fax: 01865 781503<br />
www.bd.com